How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $194.98 | Facility | None | $131.83 | $131.83 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $138.04 | Professional | None | $131.83 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $66.07 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $26.30 | $26.30 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $13.80 |
BCBS North Carolina Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $309.03 | Facility | None | $257.04 | $257.04 | $309.03 |
BCBS North Carolina Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Professional | None | $114.82 | $114.82 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $389.05 | Facility | None | $208.93 | $251.19 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | None | $181.97 | $181.97 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $162.18 | Facility | None | $131.83 | $131.83 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $199.53 | Professional | None | $141.25 | $141.25 | $199.53 |
Where North Carolina sits
The same service costs 1.8 times more in Arizona than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Carolina· 34th of 51
$151
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.